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NPI Code Detail

MEDICARE: RACHEL ANN JACOBSEN

MEDICARE:   RACHEL ANN JACOBSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA191797IA

General Provider Information

NPI Number : 1093640518
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ANN JACOBSEN
Provider Business Mailing Address
First Line : 5740 ASH ST
Second Line :
City : JOHNSTON
State : IA
Zip : 50131-2259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6000 UNIVERSITY AVE FL 4
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-8203
Country : US
Telephone Number : 515-241-2000
Fax Number : 515-241-2005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ RACHEL ANN JACOBSEN ” Practice Location

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